Jamillah Dionisia Bynum
Social Worker, Clinical in Charlotte, NC. Individual provider (NPI-1).
NPI number1144452467
StatusActive
Last updated in NPPESAug 20, 2009
Details
- NPI
- 1144452467
- Entity type
- Individual (NPI-1)
- Name
- Ms. Jamillah Dionisia Bynum
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 20, 2009
- Last updated
- Aug 20, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | P004465 | NC | Yes |
Practice location
4500 Trillium Fields DrCharlotte, NC 28269-1899
Phone 336-253-6198
Mailing address
4500 Trillium Fields DrCharlotte, NC 28269-1899
Phone 336-253-6198
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